Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.

Hdl Handle:
http://hdl.handle.net/10147/301901
Title:
Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.
Authors:
McGowan, B; Bennett, K; Casey, M C; Doherty, J; Silke, C; Whelan, B
Affiliation:
The North Western Rheumatology Unit, Our Lady's Hospital, Manorhamilton, Co Leitrim, Ireland, mcgowab@tcd.ie.
Citation:
Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008. 2013: Ir J Med Sci
Journal:
Irish journal of medical science
Issue Date:
13-Mar-2013
URI:
http://hdl.handle.net/10147/301901
DOI:
10.1007/s11845-013-0935-9
PubMed ID:
23483361
Abstract:
INTRODUCTION: Poor adherence reduces the potential benefits of osteoporosis therapy, lowering gains in bone mineral density resulting in increased risk of fractures. AIM: To compare prescribing and adherence patterns of anti-osteoporotic medications in patients admitted to an urban teaching hospital in Ireland with a fragility type fracture to patients admitted to a rural hospital in the North Western region. METHODOLOGY: We identified all patients >55 years admitted to Sligo General Hospital between 2005 and 2008 with a fragility fracture (N = 744) using the hospital in-patient enquiry system (HIPE). The medical card number of those patients eligible for the primary care reimbursement services scheme (PCRS) facilitated the linkage of the HSE-PCRS scheme database to the HIPE database which enabled a study to identify persistence rates of patients prescribed osteoporosis therapy after discharge. The results were compared to the findings of a similar study carried out in St. James's Hospital, Dublin. RESULTS: The 12 months post-fracture prescribing increased from 11.0 % (95 % CI 9.6, 12.4) in 2005 to 47 % (95 % CI 43.6, 50.3) in 2008 in the urban setting and from 25 % (95 % CI 21.5, 28.9) to 39 % (95 % CI 34.5, 42.7) in the rural setting. Adherence levels to osteoporosis medications at 12 months post-initiation of therapy was <50 % in both study groups. Patients on less frequent dosing regimes were better adherers. CONCLUSION: The proportion of patients being discharged on anti-osteoporosis medications post-fragility fracture increased between 2005 and 2008 in both patient groups. Sub-optimal adherence levels to osteoporosis medications continue to be a major concern.
Item Type:
Article
Keywords:
OSTEOPOROSIS; MEDICINES MANAGEMENT; PRESCRIBING
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorMcGowan, Ben_GB
dc.contributor.authorBennett, Ken_GB
dc.contributor.authorCasey, M Cen_GB
dc.contributor.authorDoherty, Jen_GB
dc.contributor.authorSilke, Cen_GB
dc.contributor.authorWhelan, Ben_GB
dc.date.accessioned2013-09-19T09:57:04Z-
dc.date.available2013-09-19T09:57:04Z-
dc.date.issued2013-03-13-
dc.identifier.citationComparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008. 2013: Ir J Med Scien_GB
dc.identifier.issn1863-4362-
dc.identifier.pmid23483361-
dc.identifier.doi10.1007/s11845-013-0935-9-
dc.identifier.urihttp://hdl.handle.net/10147/301901-
dc.description.abstractINTRODUCTION: Poor adherence reduces the potential benefits of osteoporosis therapy, lowering gains in bone mineral density resulting in increased risk of fractures. AIM: To compare prescribing and adherence patterns of anti-osteoporotic medications in patients admitted to an urban teaching hospital in Ireland with a fragility type fracture to patients admitted to a rural hospital in the North Western region. METHODOLOGY: We identified all patients >55 years admitted to Sligo General Hospital between 2005 and 2008 with a fragility fracture (N = 744) using the hospital in-patient enquiry system (HIPE). The medical card number of those patients eligible for the primary care reimbursement services scheme (PCRS) facilitated the linkage of the HSE-PCRS scheme database to the HIPE database which enabled a study to identify persistence rates of patients prescribed osteoporosis therapy after discharge. The results were compared to the findings of a similar study carried out in St. James's Hospital, Dublin. RESULTS: The 12 months post-fracture prescribing increased from 11.0 % (95 % CI 9.6, 12.4) in 2005 to 47 % (95 % CI 43.6, 50.3) in 2008 in the urban setting and from 25 % (95 % CI 21.5, 28.9) to 39 % (95 % CI 34.5, 42.7) in the rural setting. Adherence levels to osteoporosis medications at 12 months post-initiation of therapy was <50 % in both study groups. Patients on less frequent dosing regimes were better adherers. CONCLUSION: The proportion of patients being discharged on anti-osteoporosis medications post-fragility fracture increased between 2005 and 2008 in both patient groups. Sub-optimal adherence levels to osteoporosis medications continue to be a major concern.en_GB
dc.languageENG-
dc.rightsArchived with thanks to Irish journal of medical scienceen_GB
dc.subjectOSTEOPOROSIS-
dc.subjectMEDICINES MANAGEMENT-
dc.subjectPRESCRIBING-
dc.titleComparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.en_GB
dc.typeArticleen
dc.contributor.departmentThe North Western Rheumatology Unit, Our Lady's Hospital, Manorhamilton, Co Leitrim, Ireland, mcgowab@tcd.ie.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.